Individual
JAIME LEIGH STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2000
Mailing address
7 BLACKSMITH WAY, HAMMERSMITH VILLAGE, SAUGUS, MA 01906-4439
(617) 797-2790
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2263951
MA
Other
Enumeration date
12/25/2011
Last updated
12/25/2011
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